MATERNITY AND WOMEN'S HEALTH
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Efforts to Reduce Health Disparities
Stem: A 28-year-old G2P1 at 32 weeks comes to the clinic for a
routine prenatal visit. She is uninsured, reports trouble getting
transportation, and says she missed the last appointment
because she works two jobs. Her blood pressure today is
142/88 mm Hg. She appears anxious and asks whether she can
be seen more often if needed. As the nurse, which action best
,addresses both safety and health-disparity concerns for this
patient?
A. Document the elevated BP and instruct her to check BP at
home if possible.
B. Schedule a follow-up for two weeks and refer to general
community resources.
C. Arrange same-day evaluation with provider, screen for social
determinants, and connect to transportation/insurance
resources.
D. Advise she reduce sodium intake and return for next
scheduled visit.
Correct answer: C
Rationale — Correct: Arrange same-day provider evaluation
because BP ≥140/90 raises concern for hypertensive disorder of
pregnancy; screening for social determinants (transport,
insurance) and connecting her to resources addresses barriers
to care and reduces disparity-related risks. Early evaluation
promotes maternal-fetal safety and aligns with evidence
supporting targeted support for vulnerable populations.
Rationale — A (incorrect): Telling her to check BP at home
without immediate evaluation risks missed preeclampsia and
relies on resources she may not have. Not safe.
Rationale — B (incorrect): Two weeks is too long given elevated
BP; a generic community referral without immediate evaluation
doesn't address clinical risk.
,Rationale — D (incorrect): Dietary advice alone is insufficient;
elevated BP needs prompt assessment and possible treatment.
Teaching point: Screen and address social determinants while
prioritizing urgent clinical evaluation.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
2
Reference: Ch. 1 — Contemporary Issues and Trends —
Telehealth & Access
Stem: A 19-year-old primigravida at 14 weeks asks if she can
use the clinic’s telehealth option because she lives in a rural
area and cannot miss work. She has no complications, but you
note limited broadband access on intake. Which nursing action
best balances access and quality of care?
A. Enroll her in telehealth immediately and discontinue plans
for any in-person visits.
B. Explain telehealth limitations, arrange a hybrid schedule
(telehealth + necessary in-person visits), and provide
information about local telehealth access points.
C. Refuse telehealth because rural broadband is unreliable.
D. Schedule all visits in person; telehealth increases risk and
should be avoided.
Correct answer: B
, Rationale — Correct: A hybrid model maintains evidence-based
in-person assessments while using telehealth for suitable visits;
addressing local access barriers and providing alternatives
improves equity and safety. This integrates patient preference
with clinical judgment.
Rationale — A (incorrect): Telehealth only may miss needed
physical assessments (fundal height, labs) and ignores access
limits.
Rationale — C (incorrect): Refusing telehealth outright fails to
consider patient needs and available solutions; not equitable.
Rationale — D (incorrect): Blanket avoidance of telehealth
ignores its benefits and is not patient-centered or evidence-
based.
Teaching point: Use hybrid care and address access barriers to
expand equitable prenatal services.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Advances in the Care of Mothers and
Infants — Family-Centered Care
Stem: During postpartum teaching, a new mother requests that
her partner remain with the infant at all times. Staff report
limited private space and multiple postpartum patients. Which
CARE
13TH EDITION
• AUTHOR(S)DEITRA LOWDERMILK
TEST BANK
1
Reference: Ch. 1 — 21st-Century Maternity and Women’s
Health Nursing — Efforts to Reduce Health Disparities
Stem: A 28-year-old G2P1 at 32 weeks comes to the clinic for a
routine prenatal visit. She is uninsured, reports trouble getting
transportation, and says she missed the last appointment
because she works two jobs. Her blood pressure today is
142/88 mm Hg. She appears anxious and asks whether she can
be seen more often if needed. As the nurse, which action best
,addresses both safety and health-disparity concerns for this
patient?
A. Document the elevated BP and instruct her to check BP at
home if possible.
B. Schedule a follow-up for two weeks and refer to general
community resources.
C. Arrange same-day evaluation with provider, screen for social
determinants, and connect to transportation/insurance
resources.
D. Advise she reduce sodium intake and return for next
scheduled visit.
Correct answer: C
Rationale — Correct: Arrange same-day provider evaluation
because BP ≥140/90 raises concern for hypertensive disorder of
pregnancy; screening for social determinants (transport,
insurance) and connecting her to resources addresses barriers
to care and reduces disparity-related risks. Early evaluation
promotes maternal-fetal safety and aligns with evidence
supporting targeted support for vulnerable populations.
Rationale — A (incorrect): Telling her to check BP at home
without immediate evaluation risks missed preeclampsia and
relies on resources she may not have. Not safe.
Rationale — B (incorrect): Two weeks is too long given elevated
BP; a generic community referral without immediate evaluation
doesn't address clinical risk.
,Rationale — D (incorrect): Dietary advice alone is insufficient;
elevated BP needs prompt assessment and possible treatment.
Teaching point: Screen and address social determinants while
prioritizing urgent clinical evaluation.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
2
Reference: Ch. 1 — Contemporary Issues and Trends —
Telehealth & Access
Stem: A 19-year-old primigravida at 14 weeks asks if she can
use the clinic’s telehealth option because she lives in a rural
area and cannot miss work. She has no complications, but you
note limited broadband access on intake. Which nursing action
best balances access and quality of care?
A. Enroll her in telehealth immediately and discontinue plans
for any in-person visits.
B. Explain telehealth limitations, arrange a hybrid schedule
(telehealth + necessary in-person visits), and provide
information about local telehealth access points.
C. Refuse telehealth because rural broadband is unreliable.
D. Schedule all visits in person; telehealth increases risk and
should be avoided.
Correct answer: B
, Rationale — Correct: A hybrid model maintains evidence-based
in-person assessments while using telehealth for suitable visits;
addressing local access barriers and providing alternatives
improves equity and safety. This integrates patient preference
with clinical judgment.
Rationale — A (incorrect): Telehealth only may miss needed
physical assessments (fundal height, labs) and ignores access
limits.
Rationale — C (incorrect): Refusing telehealth outright fails to
consider patient needs and available solutions; not equitable.
Rationale — D (incorrect): Blanket avoidance of telehealth
ignores its benefits and is not patient-centered or evidence-
based.
Teaching point: Use hybrid care and address access barriers to
expand equitable prenatal services.
Citation: Lowdermilk, D. L. et al. (2024). Maternity and
Women’s Health Care (13th ed.). Ch. 1.
3
Reference: Ch. 1 — Advances in the Care of Mothers and
Infants — Family-Centered Care
Stem: During postpartum teaching, a new mother requests that
her partner remain with the infant at all times. Staff report
limited private space and multiple postpartum patients. Which
